<div class="panel panel-fix">
	<div class="panel-heading"> <h3 class="panel-title"><span class="glyphicon glyphicon-fire"></span> <?= $category['Category']['name'] ?></h3> </div>
	<div class="panel-body">
		<?php echo $this->Form->create($als, array('class' => 'form-horizontal form-bordered'));?>
		<div class="portlet-body form">
			<div class="form-body">
				<div class="form-group">
					<div class="col-sm-12"><?php echo $this->Session->flash(); ?></div>
				</div>
				
				<div class="form-group">
					<label class="col-sm-4 control-label"><?= __('Fullname'); ?></label>
					<div class="col-sm-5">
						<?php echo $this->Form->input($als.'.fullname', array( 'label' => false, 'div' => false, 'class' => 'form-control', 'placeholder' => 'Enter fullname' ) )?>
					</div>
				</div>

				<div class="form-group">
					<label class="col-sm-4 control-label"><?= __('Address'); ?></label>
					<div class="col-sm-5">
						<?php echo $this->Form->input($als.'.address', array( 'label' => false, 'div' => false, 'class' => 'form-control', 'placeholder' => 'Enter address' ) )?>
					</div>
				</div>

				<div class="form-group">
					<label class="col-sm-4 control-label"><?= __('Telephone Number'); ?></label>
					<div class="col-sm-5">
						<?php echo $this->Form->input($als.'.phone', array( 'label' => false, 'div' => false, 'class' => 'form-control', 'placeholder' => 'Enter telephone number' ) )?>
					</div>
				</div>
				
				<div class="form-group">
					<label class="col-sm-4 control-label"><?= __('Mobile Number'); ?></label>
					<div class="col-sm-5">
						<?php echo $this->Form->input($als.'.mobile', array( 'label' => false, 'div' => false, 'class' => 'form-control', 'placeholder' => 'Enter mobile number' ) )?>
					</div>
				</div>
				
				<div class="form-group">
					<label class="col-sm-4 control-label"><?= __('E-mail'); ?></label>
					<div class="col-sm-5">
						<?php echo $this->Form->input($als.'.email', array( 'label' => false, 'div' => false, 'class' => 'form-control', 'placeholder' => 'Enter e-mail' ) )?>
					</div>
				</div>
				
				<div class="form-group">
					<label class="col-sm-4 control-label"><?= __('Your question'); ?></label>
					<div class="col-sm-5">
						<?php echo $this->Form->input($als.'.content', array( 'label' => false, 'div' => false, 'class' => 'form-control', 'placeholder' => 'Endter content' ) )?>
					</div>
				</div>
				
				<?php echo $this->element('captcha', array('name' => 'send-contact' )) ?>

			</div>
			<div class="form-actions fluid">
				<div class="col-md-offset-4 col-md-8">
					<button type="submit" class="btn btn-success"><?= __('Send') ?></button>
				</div>
			</div>
		</div>
		<?php echo $this->Form->end( ); ?>
	</div>
</div>